You’ll need
Education
✓Bachelor's degree in Healthcare Administration, Business, or related field (equivalent experience considered)
Qualifications
✓3–5+ years of experience in hospital revenue cycle, patient financial services, HIM, or managed care within a hospital/health system setting
✓Working knowledge of inpatient/outpatient billing
✓Strong cross-functional communication skills with ability to influence clinical stakeholders without direct authority
✓Experience with major EHR/revenue cycle platforms
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About the role
Serve as the primary point of contact between hospital departments (nursing units, ED, surgery, ancillary services) and centralized revenue cycle functions (patient access, HIM/coding, billing, CBO, managed care)
What you’ll do
Serve as the primaryServe as the primary point of contact between hospital departments (nursing units, ED, surgery, ancillary services) and centralized revenue cycle functions (patient access, HIM/coding, billing, CBO, managed care)
Monitor system-wide revenue cycleMonitor system-wide revenue cycle KPIs — days in A/R, denial/write-off rates, clean claim rate, point-of-service collections, DNFB (Discharged Not Final Billed) — and report trends by facility/department
Monitor high-volume or high-dollarMonitor high-volume or high-dollar denials (medical necessity, authorization, eligibility, coding, timely filing) and coordinate corrective action plans with clinical and coding staff
Support charge capture integritySupport charge capture integrity by partnering with clinical departments and Revenue Integrity team to resolve charge description master (CDM) issues and workflow breakdowns
Educate and train clinicalEducate and train clinical, registration, and unit-level staff on documentation, insurance verification, prior authorization, and financial clearance requirements